Organization Active NPI

Gesik Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Honolulu, HI
National Provider Identifier
1285977850
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3507 Issued in HI
Legal business name
GESIK PHYSICAL THERAPY LLC
Practice address
677 Ala Moana Blvd Ste 725
Honolulu, HI 96813-5417
Phone
(808) 734-0010
Fax
(808) 734-0013
NPI assigned
Apr 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mari Kehaulani Punzal Gesik
Title
Office Manager
Phone
(808) 734-0010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3507 HI Primary

Addresses

Primary practice location

677 Ala Moana Blvd Ste 725
Honolulu, HI 96813-5417

Mailing address

677 Ala Moana Blvd Ste 725
Honolulu, HI 96813-5417
Phone (808) 734-0010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130703000215 HI Part B Supplier - Clinic/Group Practice 0941440507 Receives reassigned benefits from 5 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1029 Kapahulu Ave
Ste 401
Honolulu, HI 96816
Phone (808) 218-7888

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1285977850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135417",
            "telephone_number": "808-734-0010",
            "fax_number": "808-734-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD STE 725",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135417",
            "telephone_number": "808-734-0010",
            "fax_number": "808-734-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GESIK PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2021-03-16",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "GESIK",
        "authorized_official_first_name": "MARI",
        "authorized_official_middle_name": "KEHAULANI PUNZAL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-734-0010"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "HI",
            "license": "3507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.